Varsha Ramesh Dhakne1, Sourabh Hanumant Karad2, Hanumant Tulshiram Karad3, Samarth Babasaheb Waghambare4, Madhuri Tejas Karad5, Uttam Haribhau Nisale6, Rajlaxmi Suhas Pujar7, Harshal Sushil Ambade8
BACKGROUND
Pseudoexfoliation (PEX) is a systemic microfibrillopathy characterised by
accumulation of gray-white fibrogranular extracellular material over the lens, pupil
or cornea. Different clinical variants of PEX in cataract patients are known to occur.
We wanted to study the different clinical variants of PEX in cataract patients, the
intraoperative and postoperative complications and the visual prognosis of
cataract surgery.
METHODS
A total of 100 patients with PEX in cataract were subjected to detailed examination
and necessary investigations. Cataract surgery was performed in all patients using
the manual small incision cataract surgery (SICS). Vision before and after surgery
was recorded. Refraction was done and documented. Best corrected visual acuity
was noted and was followed-up postoperatively for 2 – 4 weeks.
RESULTS
Maximum prevalence of PEX (57 %) was seen in 51 - 60 years of age and 64 %
were males and 36 % were females. The involvement was bilateral in 53 % and
unilateral in 47 % cases. The range of intraocular pressure (IOP) was 12.4 mm
Hg to 23.1 mm Hg. 67 % patients had insufficient mydriasis and 81 % cases were
found to have PEX material deposited on the peripheral zone and 19 % cases on
both peripheral zone and central zone. A total of 27 % cases had mature cataract
and 7 % had hypermature cataract.
CONCLUSIONS
PEX requires a thorough preoperative planning along with a proper intraoperative
care to ensure an uneventful surgery and a successful postoperative result.
